US11621073B2 - Closed loop control system interface and methods - Google Patents

Abstract

A method of providing treatment for a medical condition includes storing a plurality of closed loop control algorithms in memory accessible by the control unit and receiving. A control unit receives analyte data from an analyte sensor in communication with the control unit. The control unit controls a medication delivery device in accordance with the first closed loop control algorithm based on the analyte data. The control unit causes the medication delivery device to be controlled in accordance with the second closed loop control algorithm instead of the first closed loop control algorithm, and controlling the medication delivery device in accordance with the second closed loop control algorithm. The control unit is configured to transmit one or more closed loop control operations to control the medication delivery device.

Description

RELATED APPLICATIONS

The present application is a continuation of U.S. patent application Ser. No. 14/529,026 filed Oct. 30, 2014, now U.S. Pat. No. 10,328,201, which is a continuation of U.S. patent application Ser. No. 12/503,022 filed Jul. 14, 2009, now U.S. Pat. No. 8,876,755, which claims priority under § 35 U.S.C. 119(e) to U.S. provisional application No. 61/080,677 filed Jul. 14, 2008 entitled “Closed Loop Control System Interface and Methods”, the disclosures of each of which are incorporated herein by reference for all purposes.

BACKGROUND

Commercial devices and systems for monitoring glucose levels in a patient are currently available. For example, FreeStyle Navigator® Continuous Glucose Monitoring System available from Abbott Diabetes Care Inc., provides diabetes management tools for monitoring glucose levels of a patient over an extended time period using a subcutaneous analyte sensor, for example, in contact with interstitial fluid of the patient. Such devices and systems provide real time glucose information to the patient to assist in improving glycemic control. Also available are infusion devices such as external insulin pumps which are programmable to deliver insulin based on a programmed delivery profile to diabetic patients, for example. Typically, such pumps are programmed to deliver a predetermined basal delivery profile, and periodically administer user specified bolus dosage or temporary basal delivery.

In recent years, developments have been on going in closed loop therapy systems which automate the control of the insulin delivery based on real time feedback of the patient's glucose levels. There are known closed loop control algorithms that are intended to model artificial pancreas to provide a fully automated and integrated system of glucose monitoring and insulin delivery.

With the development of different algorithms for closed loop control as well as glucose monitoring systems and infusion devices, integration of such components to provide compatibility has become a challenge.

SUMMARY

In view of the foregoing, a closed loop system interface device and methods are provided in accordance with various embodiments of the present disclosure which provide compatibility with any developing closed loop algorithm, and integration with the analyte monitoring system.

In one aspect, method and apparatus for calling a programmed function in conjunction with execution of one or more commands related to a closed loop control algorithm, receiving one or more data in response to the one or more commands over a data interface, and executing the one or more commands related to the closed loop control algorithm based on the received one or more data are provided.

These and other objects, features and advantages of the present disclosure will become more fully apparent from the following detailed description of the embodiments, the appended claims and the accompanying drawings.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG.1 illustrates an integrated infusion device and analyte monitoring system in accordance with one embodiment of the present disclosure;

FIG.2 illustrates an integrated infusion device and analyte monitoring system in accordance with another embodiment of the present disclosure;

FIG.3 illustrates an integrated infusion device and analyte monitoring system in accordance with yet another embodiment of the present disclosure;

FIG.4 illustrates an integrated infusion device and analyte monitoring system in accordance with still another embodiment of the present disclosure;

FIG.5 illustrates an integrated infusion device and analyte monitoring system in accordance with still a further embodiment of the present disclosure;

FIG.6 illustrates an integrated infusion device and monitoring system in accordance with yet still a further embodiment of the present disclosure;

FIG.7A illustrates an integrated infusion device and analyte monitoring system with the infusion device and the monitoring system transmitter integrated into a single patch worn by the patient in accordance with one embodiment of the present disclosure andFIG.7B illustrates a top view of the patch ofFIG.7A;

FIG.8 illustrates a closed loop system interface for practicing one or more embodiments of the present disclosure;

FIG.9 illustrates an architecture for providing interface to integrate the components of the closed loop system in one aspect; and

FIG.10 illustrates an architecture for providing interface to integrate the components of the closed loop system in another aspect.

DETAILED DESCRIPTION

FIG.1 illustrates an integrated infusion device and analyte monitoring system in accordance with one embodiment of the present disclosure. Referring toFIG.1, the integrated infusion device andanalyte monitoring system100 in one embodiment of the present disclosure includes aninfusion device110 connected to aninfusion tubing130 for liquid transport or infusion, and which is further coupled to acannula170. As can be seen fromFIG.1, thecannula170 is configured to be mountably coupled to atransmitter unit150, where thetransmitter unit150 is also mountably coupled to ananalyte sensor160. Also provided is ananalyte monitor unit120 which is configured to wirelessly communicate with thetransmitter unit150 over acommunication path140.

Referring toFIG.1, in one embodiment of the present disclosure, thetransmitter unit150 is configured for unidirectional wireless communication over thecommunication path140 to theanalyte monitor unit120. In one embodiment, theanalyte monitor unit120 may be configured to include a transceiver unit (not shown) for bidirectional communication over thecommunication path140. Thetransmitter unit150 in one embodiment may be configured to periodically and/or intermittently transmit signals associated with analyte levels detected by theanalyte sensor160 to theanalyte monitor unit120. Theanalyte monitor unit120 may be configured to receive the signals from thetransmitter unit150 and in one embodiment, is configured to perform data storage and processing based on one or more preprogrammed or predetermined processes.

For example, in one embodiment, theanalyte monitor unit120 is configured to store the received signals associated with analyte levels in a data storage unit (not shown). Alternatively, or in addition, theanalyte monitor unit120 may be configured to process the signals associated with the analyte levels to generate trend indication by, for example, visual display of a line chart or an angular icon based display for output display on itsdisplay unit121. Additional information may be output displayed on thedisplay unit121 of theanalyte monitor unit120 including, but not limited to, the substantially contemporaneous and real time analyte level of the patient received from thetransmitter unit150 as detected by thesensor160. The real time analyte level may be displayed in a numeric format or in any other suitable format which provides the patient with the accurate measurement of the substantially real time analyte level detected by thesensor160.

Additional analytes that may be monitored or determined by thesensor160 include, for example, acetyl choline, amylase, bilirubin, cholesterol, chorionic gonadotropin, creatine kinase (e.g., CK-MB), creatine, DNA, fructosamine, glucose, glutamine, growth hormones, hormones, ketones, lactate, peroxide, prostate-specific antigen, prothrombin, RNA, thyroid stimulating hormone, and troponin. The concentration of drugs, such as, for example, antibiotics (e.g., gentamicin, vancomycin, and the like), digitoxin, digoxin, drugs of abuse, theophylline, and warfarin, may also be determined.

Referring back toFIG.1, thesensor160 may include a short term (for example, 3 day, 5 day or 7 day use) analyte sensor which is replaced after its intended useful life. Moreover, in one embodiment, thesensor160 is configured to be positioned subcutaneous to the skin of the patient such that at least a portion of the analyte sensor is maintained in fluid contact with the patient's analyte such as, for example, interstitial fluid or blood. In addition, thecannula170, which is configured to similarly be positioned under the patient's skin, is connected to theinfusion tubing130 of theinfusion device110 so as to deliver medication such as insulin to the patient. Moreover, in one embodiment, thecannula170 is configured to be replaced with the replacement of thesensor160.

In one aspect of the present disclosure, thecannula170 and thesensor160 may be configured to be subcutaneously positioned under the skin of the patient using an insertion mechanism (not shown) such as an insertion gun which may include, for example, a spring biased or loaded insertion mechanism to substantially accurately position thecannula170 and thesensor160 under the patient's skin. In this manner, thecannula170 and thesensor160 may be subcutaneously positioned with substantially little or no perceived pain by the patient. Alternatively, thecannula170 and/or thesensor160 may be configured to be manually inserted by the patient through the patient's skin. After positioning thecannula170 and thesensor160, they may be substantially firmly retained in position by anadhesive layer180 which is configured to adhere to the skin of the patient for the duration of the time period during which thesensor160 and thecannula170 are subcutaneously positioned.

Moreover, in one embodiment, thetransmitter unit150 may be mounted after the subcutaneous positioning of thesensor160 and thecannula150 so as to be in electrical contact with the sensor electrodes. Similarly, theinfusion tubing130 may be configured to operatively couple to the housing of thetransmitter unit150 so as to be in accurately positioned for alignment with thecannula170 and to provide a substantially water tight seal. Additional detailed description of the analyte monitoring system including thesensor160,transmitter unit150 and theanalyte monitor unit120 is provided in U.S. Pat. No. 6,175,752, assigned to the assignee of the present disclosure, Abbott Diabetes Care Inc., the disclosure of which is incorporated by reference for all purposes.

Referring back toFIG.1, theinfusion device110 may include capabilities to program basal profiles, calculation of bolus doses including, but is not limited to, correction bolus, carbohydrate bolus, extended bolus, and dual bolus, which may be performed by the patient using theinfusion device110, and may be based on one or more factors including the patient's insulin sensitivity, insulin on board, intended carbohydrate intake (for example, for the carbohydrate bolus calculation prior to a meal), the patient's measured or detected glucose level, and the patient's glucose trend information. In a further embodiment, the bolus calculation capabilities may also be provided in theanalyte monitor unit120.

In one embodiment, theanalyte monitor unit120 is configured with a substantially compact housing that can be easily carried by the patient. In addition, theinfusion device110 similarly may be configured as a substantially compact device which can be easily and conveniently worn on the patient's clothing (for example, housed in a holster or a carrying device worn or clipped to the patient's belt or other parts of the clothing). Referring yet again toFIG.1, theanalyte monitor unit120 and/or theinfusion device110 may include a user interface such asinformation input mechanism112,122 by the patient as well as data output including, for example, thedisplay unit121 on theanalyte monitor unit120, or similarly a display unit111 on theinfusion device110.

One or more audio output devices such as, for example, speakers or buzzers may be integrated with the housing of theinfusion device110 and/or theanalyte monitor unit120 so as to output audible alerts or alarms based on the occurrence of one or more predetermined conditions associated with theinfusion device110 or theanalyte monitor unit120. For example, theinfusion device110 may be configured to output an audible alarm or alert to the patient upon detection of an occlusion in theinfusion tubing130 or the occurrence of a timed event such as a reminder to prime the infusion tubing upon replacement of thecannula170, and the like. Theanalyte monitor unit120 may similarly be configured to output an audible alarm or alert when a predetermined condition or a pre-programmed event occurs, such as, for example, a reminder to replace thesensor160 after its useful life (of 3 days, 5 days or 7 days), or one or more alerts associated with the data received from thetransmitter unit150 corresponding to the patient's monitored analyte levels. Such alerts or alarms may include a warning alert to the patient that the detected analyte level is beyond a predetermined threshold level, or the trend of the detected analyte levels within a given time period is indicative of a significant condition such as potential hyperglycemia or hypoglycemia, which require attention or corrective action. It is to be noted that the examples of audible alarms and/or alerts are described above for illustrative purposes only, that within the scope of the present disclosure, other events or conditions may be programmed into theinfusion device110 or theanalyte monitor unit120 or both, so as to alert or notify the patient of the occurrence or the potential occurrence of such events or conditions.

In addition, within the scope of the present disclosure, audible alarms may be output alone, or in combination with one or more of a visual alert such as an output display on thedisplay unit111,121 of theinfusion device110 or theanalyte monitor unit120, respectively, or vibratory alert which would provide a tactile indication to the patient of the associated alarm and/or alert.

Moreover, referring yet again toFIG.1, while oneanalyte monitor unit120 and onetransmitter unit150 are shown, within the scope of the present disclosure, additional analyte monitor units or transmitter units may be provided such that, for example, thetransmitter unit150 may be configured to transmit to multiple analyte monitor units substantially simultaneously. Alternatively, multiple transmitter units coupled to multiple sensors concurrently in fluid contact with the patient's analyte may be configured to transmit to theanalyte monitor unit120, or to multiple analyte monitor units. For example, an additional transmitter unit coupled to an additional sensor may be provided in the integrated infusion device andanalyte monitoring system100 which does not include thecannula170, and which may be used to perform functions associated with thesensor160 such as sensor calibration, sensor data verification, and the like.

In one embodiment, thetransmitter unit150 is configured to transmit the sampled data signals received from thesensor160 without acknowledgement from theanalyte monitor unit120 that the transmitted sampled data signals have been received. For example, thetransmitter unit150 may be configured to transmit the encoded sampled data signals at a fixed rate (e.g., at one minute intervals) after the completion of the initial power on procedure. Likewise, theanalyte monitor unit120 may be configured to detect such transmitted encoded sampled data signals at predetermined time intervals. Alternatively, thetransmitter unit150 and theanalyte monitor unit120 may be configured for bi-directional communication over thecommunication path140.

Additionally, in one aspect, theanalyte monitor unit120 may include two sections. The first section of theanalyte monitor unit120 may include an analog interface section that is configured to communicate with thetransmitter unit150 via thecommunication path140. In one embodiment, the analog interface section may include an RF receiver and an antenna for receiving and amplifying the data signals from thetransmitter unit150, which are thereafter, demodulated with a local oscillator and filtered through a band-pass filter. The second section of theanalyte monitor unit120 may include a data processing section which is configured to process the data signals received from thetransmitter unit150 such as by performing data decoding, error detection and correction, data clock generation, and data bit recovery, for example.

In operation, upon completing the power-on procedure, theanalyte monitor unit120 is configured to detect the presence of thetransmitter unit150 within its range based on, for example, the strength of the detected data signals received from thetransmitter unit150 or a predetermined transmitter identification information. Upon successful synchronization with thetransmitter unit150, theanalyte monitor unit120 is configured to begin receiving from thetransmitter unit150 data signals corresponding to the patient's detected analyte, for example glucose, levels.

Referring again toFIG.1, theanalyte monitor unit120 or theinfusion device110, or both may be configured to further communicate with a data processing terminal (not shown) which may include a desktop computer terminal, a data communication enabled kiosk, a laptop computer, a handheld computing device such as a personal digital assistant (PDAs), or a data communication enabled mobile telephone, and the like, each of which may be configured for data communication via a wired or a wireless connection. The data processing terminal for example may include physician's terminal and/or a bedside terminal in a hospital environment, for example.

Thecommunication path140 for data communication between thetransmitter unit150 and theanalyte monitor unit120 ofFIG.1 may include an RF communication link, Bluetooth® communication link, infrared communication link, or any other type of suitable wireless communication connection between two or more electronic devices. The data communication link may also include a wired cable connection such as, for example, but not limited to, an RS232 connection, USB connection, or serial cable connection.

Referring yet again toFIG.1, in a further aspect of the present disclosure, theanalyte monitor unit120 or the infusion device110 (or both) may also include a test strip port configured to receive a blood glucose test strip for discrete sampling of the patient's blood for glucose level determination. An example of the functionality of blood glucose test strip meter unit may be found in Freestyle® Blood Glucose Meter available from the assignee of the present disclosure, Abbott Diabetes Care Inc.

In the manner described above, in one embodiment of the present disclosure, thecannula170 for infusing insulin or other suitable medication is integrated with theadhesive patch180 for thesensor160 and thetransmitter unit150 of the analyte monitoring system. Accordingly, only one on-skin patch can be worn by the patient (for example, on the skin of the abdomen) rather than two separate patches for theinfusion device cannula170, and the analyte monitoring system sensor160 (with the transmitter unit150). Thus, the Type-1 diabetic patient may conveniently implement infusion therapy in conjunction with real time glucose monitoring while minimizing potential skin irritation on theadhesive patch180 site on the patient's skin, and thus provide more insertion sites with less irritation.

In addition, the integrated infusion device andanalyte monitoring system100 as shown inFIG.1 may be configured such that theinfusion tubing130 may be disconnected from theinfusion device110 as well as from the housing of the transmitter unit150 (or the adhesive patch180) such that, optionally, the patient may configure the system as continuous analyte monitoring system while disabling theinfusion device110 functionality.

Moreover, in accordance with one embodiment of the present disclosure, the patient may better manage the physiological conditions associated with diabetes by having substantially continuous real time glucose data, trend information based on the substantially continuous real time glucose data, and accordingly, modify or adjust the infusion levels delivered by theinfusion device110 from the pre-programmed basal profiles that theinfusion device110 is configured to implement.

FIG.2 illustrates an integrated infusion device and analyte monitoring system in accordance with another embodiment of the present disclosure. Referring toFIG.2, the integrated infusion device andanalyte monitoring system200 in one embodiment of the present disclosure includes an integrated infusion device andanalyte monitor unit210 which is coupled to aninfusion tubing220 connected to thecannula260. Also shown inFIG.2 is atransmitter unit240 which is in electrical contact with ananalyte sensor250, where thecannula260 and theanalyte sensor250 are subcutaneously positioned under the skin of the patient, and retained in position by an adhesive layer orpatch270.

Referring toFIG.2, the integrated infusion device andanalyte monitor unit210 is configured to wirelessly communicate with thetransmitter unit240 over acommunication path230 such as an RF communication link. Compared with the embodiment shown inFIG.1, it can be seen that in the embodiment shown inFIG.2, the infusion device and the analyte monitor are integrated into asingle housing210. In this manner, thetransmitter unit240 may be configured to transmit signals corresponding to the detected analyte levels received from theanalyte sensor250 to the integrated infusion device andanalyte monitor unit210 for data analysis and processing.

Accordingly, the patient may conveniently receive real time glucose levels from thetransmitter unit240 and accordingly, determine whether to modify the existing basal profile(s) in accordance with which insulin is delivered to the patient. In this manner, the functionalities of the analyte monitor unit may be integrated within the compact housing of the infusion device to provide additional convenience to the patient by, for example, providing the real time glucose data as well as other relevant information such as glucose trend data to the user interface of the infusion device, so that the patient may readily and easily determine any suitable modification to the infusion rate of the insulin pump.

In one embodiment, the configurations of each component shown inFIG.2 including thecannula260, theanalyte sensor250, thetransmitter unit240, theadhesive layer270, thecommunication path230, as well as theinfusion tubing220 and the functionalities of the infusion device and the analyte monitor are substantially similar to the corresponding respective component as described above in conjunction withFIG.1.

Accordingly, in one embodiment of the present disclosure, the additional convenience may be provided to the patient in maintaining and enhancing diabetes management by, for example, having a single integrated device such as the integrated infusion device andanalyte monitor unit210 which would allow the patient to easily manipulate and manage insulin therapy using a single user interface system of the integrated infusion device andanalyte monitor unit210. Indeed, by providing many of the information associated with the glucose levels and insulin infusion information in one device, the patient may be provided with the additional convenience in managing diabetes and improving insulin therapy.

FIG.3 illustrates an integrated infusion device and analyte monitoring system in accordance with yet another embodiment of the present disclosure. Referring toFIG.3, the integrated infusion device andanalyte monitoring system300 in one embodiment of the present disclosure includes aninfusion device310 connected to aninfusion tubing340 coupled to acannula370. Thecannula370 is configured to be positioned subcutaneously under the patient's skin and substantially retained in position by anadhesive layer380. Also retained in position, as discussed above and similar to the embodiments described in conjunction withFIGS.1-2, is ananalyte sensor360 also positioned subcutaneously under the patient's skin and maintained in fluid contact with the patient's analyte. Atransmitter unit350 is provided so as to be electrically coupled to theanalyte sensor360 electrodes. Also, as can be seen fromFIG.3, in one embodiment, theinfusion tubing340 is connected to the housing of thetransmitter unit350 so as to connect to thecannula370 disposed under the patient's skin.

Referring toFIG.3, also provided is ananalyte monitoring unit320 configured to wirelessly communicate with thetransmitter unit350 to receive data therefrom associated with the analyte levels of the patient detected by theanalyte sensor360. Referring toFIG.3, in one embodiment, theinfusion device310 does not include a user interface such as a display unit and/or an input unit such as buttons or a jog dial. Instead, the user interface and control mechanism is provided on theanalyte monitoring unit320 such that theanalyte monitoring unit320 is configured to wirelessly control the operation of theinfusion device310 and further, to suitably program theinfusion device310 to execute pre-programmed basal profile(s), and to otherwise control the functionality of theinfusion device310.

More specifically, all of the programming and control mechanism for theinfusion device310 is provided in theanalyte monitoring unit320 such that when the patient is wearing theinfusion device310, it may be worn discreetly under clothing near the infusion site on the patient's skin (such as abdomen), while still providing convenient access to the patient for controlling theinfusion device310 through theanalyte monitoring unit320.

In addition, in one embodiment, the configurations of each component shown inFIG.3 including thecannula370, theanalyte sensor360, thetransmitter unit350, theadhesive layer380, thecommunication path330, as well as theinfusion tubing340 and the functionalities of the infusion device and theanalyte monitoring unit320 are substantially similar to the corresponding respective component as described above in conjunction withFIG.1. However, theinfusion device310 in the embodiment shown inFIG.3 is configured with a transceiver or an equivalent communication mechanism to communicate with theanalyte monitoring unit320.

In this manner, in one embodiment of the present disclosure, configuration of theinfusion device310 without a user interface provides a smaller and lighter housing and configuration for theinfusion device310 which would enhance the comfort in wearing and/or carrying theinfusion device310 with the patient. Moreover, since the control and programming functions of theinfusion device310 is provided on theanalyte monitoring unit320, the patient may conveniently program and/or control the functions and operations of theinfusion device310 without being tethered to theinfusion tubing340 attached to thecannula370 which is positioned under the patient's skin. In addition, since the programming and control of theinfusion device310 is remotely performed on theanalyte monitoring unit320, theinfusion tubing340 may be shorter and thus less cumbersome.

FIG.4 illustrates an integrated infusion device and analyte monitoring system in accordance with still another embodiment of the present disclosure. Referring toFIG.4, the integrated infusion device andanalyte monitoring system400 in one embodiment of the present disclosure includes aninfusion device410 configured to wirelessly communicate with ananalyte monitoring unit420 over acommunication path430 such as an RF (radio frequency) link. In addition, as can be further seen fromFIG.4, theinfusion device410 is connected to aninfusion tubing440 which has provided therein integral wires connected to the analyte sensor electrodes. As discussed in further detail below, the measured analyte levels of the patient is received by theinfusion device410 via theinfusion tubing440 and transmitted to theanalyte monitoring unit420 for further processing and analysis.

More specifically, referring toFIG.4, the integrated infusion device andanalyte monitoring system400 includes apatch450 provided with acannula470 and ananalyte sensor460. Thecannula470 is configured to deliver or infuse medication such as insulin from theinfusion device410 to the patient. That is, in one embodiment, thecannula470 and theanalyte sensor460 are configured to be positioned subcutaneous to the patient's skin. Theanalyte sensor460 is configured to be positioned in fluid contact with the patient's analyte.

In this manner, theanalyte sensor460 is electrically coupled to integral wires provided within theinfusion tubing440 so as to provide signals corresponding to the measured or detected analyte levels of the patient to theinfusion device410. In one embodiment, theinfusion device410 is configured to perform data analysis and storage, such that theinfusion device410 may be configured to display the real time measured glucose levels to the patient ondisplay unit411. In addition to or alternatively, theinfusion device410 is configured to wirelessly transmit the received signals from theanalyte sensor460 to theanalyte monitoring unit420 for data analysis, display, and/or storage and theanalyte monitoring unit420 may be configured to remotely control the functions and features of theinfusion device410 providing additional user convenience and discreteness.

Referring back toFIG.4, in one embodiment, thepatch450 may be configured to be substantially small without a transmitter unit mounted thereon, and provided with a relatively small surface area to be attached to the patient's skin. In this manner, the patient may be provided with added comfort in having a substantially compact housing mounted on the skin (attached with an adhesive layer, for example), to infuse medication such as insulin, and for continuous analyte monitoring with theanalyte sensor460.

FIG.5 illustrates an integrated infusion device and analyte monitoring system in accordance with still a further embodiment of the present disclosure. As compared with the embodiment shown inFIG.4, the integrated infusion device andanalyte monitoring system500 ofFIG.5 includes an integrated infusion device andanalyte monitoring unit510. Accordingly, one user interface is provided to the user including thedisplay unit511 andinput buttons512 provided on the housing of the integrated infusion device andanalyte monitoring unit510. Also shown inFIG.5 areinfusion tubing520 with integral wires disposed therein and connected to ananalyte sensor540 with electrodes in fluid contact with the patient's analyte. Moreover, as can be seen fromFIG.5, anadhesive patch530 is provided to retain the subcutaneous position of acannula550 and theanalyte sensor540 in the desired positions under the patient's skin.

Optionally, the integrated infusion device andanalyte monitoring unit510 may be provided with wireless or wired communication capability so to communicate with a remote terminal such as a physician's computer terminal over a wireless communication path such as RF communication link, or over a cable connection such as a USB connection, for example. Referring back toFIG.5, in one embodiment of the present disclosure, the diabetic patient using an infusion therapy is provided with less components to handle or manipulate further simplifying insulin therapy and glucose level monitoring and management.

FIG.6 illustrates an integrated infusion device and monitoring system in accordance with yet still a further embodiment of the present disclosure. Referring toFIG.6, the integrated infusion device and analyte monitoring system600 is provided with an infusion device without a user interface, and configured to wirelessly communicate with ananalyte monitoring unit620 over acommunication path630 such as an RF link. Theinfusion device610 which may be provided in a compact housing since it does not incorporate the components associated with a user interface, is connected to aninfusion tubing640 having disposed therein integral wires correspondingly connected to the electrodes ofanalyte sensor660 in fluid contact with the patient's analyte. In addition, the compactadhesive patch650 in one embodiment is configured to retaincannula670 and theanalyte sensor660 in the desired position under the skin of the patient.

Similar to the embodiment shown inFIG.3, theanalyte monitoring unit620 is configured to control and program theinfusion device610 over thecommunication link630. In this manner, the control and programming functions of theinfusion device610 may be remotely performed by theanalyte monitoring unit620, providing convenience to the patient.

FIG.7A illustrates an integrated infusion device and analyte monitoring system with the infusion device and the monitoring system transmitter integrated into a single patch worn by the patient in accordance with one embodiment of the present disclosure andFIG.7B illustrates a top view of the patch ofFIG.7A. Referring toFIGS.7A and7B, the integrated infusion device andanalyte monitoring system700 includes an integrated patch pump andtransmitter unit710 provided on anadhesive layer760, and which is configured to be placed on the skin of the patient, so as to securely positioncannula750 andanalyte sensor740 subcutaneously under the skin of the patient. The housing of the integrated infusion pump andtransmitter unit710 is configured in one embodiment to include the infusion mechanism to deliver medication such as insulin to the patient via thecannula750.

In addition, the integrated patch pump andtransmitter unit710 is configured to transmit signals associated with the detected analyte levels measured by theanalyte sensor740, over awireless communication path730 such as an RF link. The signals are transmitted from the on body integrated patch pump andtransmitter unit710 to acontroller unit720 which is configured to control the operation of the integrated patch pump andtransmitter unit710, as well as to receive the transmitted signals from the integrated patch pump andtransmitter unit710 which correspond to the detected analyte levels of the patient.

Referring back toFIGS.7A and7B, in one embodiment, the infusion mechanism of the integrated patch pump andtransmitter unit710 may include the infusion device of the type described in U.S. Pat. No. 6,916,159 assigned to the assignee of the present disclosure, Abbott Diabetes Care Inc., the disclosure of which is incorporated by reference for all purposes. In addition, while a wireless communication over thecommunication path730 is shown inFIG.7A, thewireless communication path730 may be replaced by a set of wires to provide a wired connection to thecontroller unit720.

In this manner, in one embodiment of the present disclosure, the integrated infusion device andanalyte monitoring system700 does not use an infusion tubing which may provide additional comfort and convenience to the patient by providing additional freedom from having to wear a cumbersome tubing.

FIG.8 illustrates a closed loop system interface for practicing one or more embodiments of the present disclosure. Referring to the Figure, in one aspect, the closed loop architecture includes aPC terminal810, such as a computer terminal which includes the predefined closed loop algorithm, in communication with acontroller820 and apump830. Thecontroller820 in one aspect is configured to receive analyte data over adata connection860 such as an RF link, from adata transmitter870 which is connected to ananalyte sensor880. In one aspect, thecontroller820 in combination with thetransmitter870 and theanalyte sensor880 comprise the analyte monitoring system described above.

Referring again toFIG.8, thepump830 is connected to an infusion set/tubing890 for delivering medication such as insulin to a user. While not shown, theanalyte sensor880 and the cannula of the infusion set/tubing is transcutaneously positioned under the skin layer of the patient to monitor analyte levels and deliver medication, respectively. As can be seen, there are provideddata interface840,850 between thecontroller820 andPC terminal810, and thepump830 and thePC terminal810. In one aspect, the data interfaces840,850 include USB data connection for data transfer between the various components described. In a further aspect, the closed loop algorithm may be provided in thecontroller820 in which case, thePC terminal810 shown inFIG.8 may be an optional device, and thedata interface840,850 may be similarly optional. In such configuration, thecontroller820 in one aspect may be configured to communicate with thepump830 viadata interface895 which may include, for example, one or more of an RF (radio frequency) communication interface/link, a wired data interface such as a USB (universal serial bus) or serial data communication interface or any other suitable data interface for bi-directional data communication between thecontroller820 and thepump830.

As discussed in further detail below, in accordance with embodiments of the present disclosure, architecture to support integration of closed loop control algorithm (whether developed and resident in the PC terminal810), or integrated intocontroller820 are provided. That is, by providing application programming interface (API) to the components of the closed loop system, integration with different control algorithm for implementation as well as testing may be easily achieved with data compatibility and little or no modification to the closed loop control algorithm.

FIG.9 illustrates an architecture for providing data/control interface to integrate the components of the closed loop control system in one aspect. Referring toFIG.9, as can be seen, there is provided transport layers between the controller/pump and the PC terminal. That is, in one embodiment, using the existing USB data ports, data communication may be achieved by serial communication with the PC terminal such that between the devices, an interface layer such as a serializer is provided which encapsulates, for example, the serial commands from the continuous glucose monitoring (CGM) controller to the closed loop algorithm resident in the PC terminal. In one aspect, the serializer may be configured to provide API to execute the necessary and/or desired commands for monitoring and updating the status of the commands.

Referring toFIG.9, the closed loop algorithm resident in the PC terminal as shown may be configured to call or retrieve for execution/implementation one or more desired functions based, for example, on its internal clock or timer (or programmed or pre-programmed), and in response, triggers or initiates the CGM (continuous glucose monitoring) data processing to serialize the responsive (based on the function call) data which is then provided to corresponding deserializer on the PC terminal via the USB connection. For example, the function call may include a serial command requesting glucose data for the past 10 minutes. The closed loop algorithm may execute this function call to the controller, and in response thereto, the controller may be configured to retrieve the stored glucose data received from the CGM transmitter and provide that information to the deserializer in the PC terminal as a data table, for example.

That is, in one aspect, the application programming interface (API) provided on the controller and the PC terminal are configured to communicate over the data connection (for example, the USB connection) based on serial commands, and thereafter, provided to the closed loop control algorithm for appropriate processing related to control of one or more of the pump parameters or the controller (continuous glucose monitoring) parameters. More specifically, as shown inFIG.9, the command interface resident in the PC terminal may be configured to generate the appropriate or suitable serial command to implement the desired closed loop control based on the data received from the controller, and thereafter, via the serializer provide the command to the pump and/or the controller over the data connection, which, in one aspect, are configured to deserialize the command for execution and/or implementation.

In this manner, in one aspect, there is provided an interface module which is configured to integrate the closed loop control algorithm with the continuous glucose monitoring system and infusion device that do not require modification to the closed loop control algorithm to provide compatibility and functional integration. For example, in one aspect, serial commands in conjunction with application programming interface (API) are provided to integrate the closed loop system components without changing the closed loop control algorithm. In one aspect, without modifying the interface communication or control, the patient may alter or replace the existing closed loop control algorithm to another algorithm that may be more suited to the patient.

Referring toFIG.9, while the closed loop control algorithm is shown to reside in the PC terminal, within the scope of the present disclosure, the closed loop control algorithm may be provided in the controller, which, in turn, may be configured for data communication with the pump as well as the sensor interface (transmitter) coupled to an analyte sensor for analyte monitoring. That is, in a further aspect, the PC terminal may be provided as an optional data processing terminal and the closed loop control algorithm may be implemented using the controller device in conjunction with the analyte sensor interface and the pump. This embodiment is further described in detail below in conjunction withFIG.10.

FIG.10 illustrates an architecture for providing interface to integrate the components of the closed loop control system in another aspect. As shown, in one aspect, the closed loop control algorithm is integrated in the controller such that the use of the PC terminal with closed loop algorithm may be optional, and the serial commands used may not be necessary. For example, with the application programming interface (API) provided to the controller and the pump, in one aspect, the closed loop control algorithm may be executed based on the data received from the controller related to the real time monitored glucose levels, and in response thereto, provide or issue one or more function calls to command or control the pump and/or the controller to implement the determined command or control based on the executed closed loop control algorithm. As discussed, in accordance with the embodiments of the present disclosure, the defined APIs may be implemented with any closed loop control algorithm and integrated with compatibility.

Within the scope of the present disclosure, other compatible configurations are contemplated in conjunction with a closed loop control system for insulin therapy and diagnosis which are compatible with a variety of closed loop control algorithms without specific modifications to the control algorithms for implementation. In aspects of the present disclosure, the function calls or commands executed or implemented by the one or more APIs include data integrity verification, for example, by including a CRC (cyclic redundancy check) verification such that it may be necessary to verify the checksum of the API command before calling the associated function.

In a further aspect, the defined or programmable APIs may be associated with one or more functions related to the medication delivery profile (e.g., one or more basal delivery profiles, temporary basal profile, delivery rates, delivery duration), delivery profile modification (including, for example, conditions for start/stop of one or more predetermined delivery profiles, conditions defining switching between multiple delivery profiles), safety shut off routine, device (pump and/or controller) operational status monitoring, data processing modes including, for example, batch mode, backup, upload, retrieval, time stamping, logging and the like. Moreover, other compatible APIs are contemplated within the scope of the present disclosure to provide compatibility with multiple closed loop control algorithms and which does not require modification to the algorithms in order to execute or call associated functions or parameters.

In still a further aspect, the defined or programmable APIs may be associated with one or more functions related to the analyte monitoring such as, but not limited to, frequency of analyte data logging, analyte sensor based events such as sensor calibration schedule, modification to the calibration schedule, diagnosis of sensor operation, failure modes related to the analyte sensor, or analyte sensor replacement schedules. In further aspects of the present disclosure, the defined or programmable APIs may be associated with one or more data processing functions from the analyte sensor interface and/or the pump, including, for example, time corresponding the medication delivery profile with the monitored analyte levels, determination or processing of the rate of change information of the monitored analyte levels in conjunction with the medication delivery profile such as the basal profile, monitoring of the temperature (on-skin, body temperature, and the like), for example. In addition, alarm or alert conditions associated with the closed loop control algorithm may be implemented using one or more of the defined or programmable APIs including, for example, but not limited to, occlusion detection in the medication delivery path, rapid rise or decline in the monitored analyte levels, for example.

Accordingly, a method in one aspect includes initiating a programmed function in conjunction with execution of one or more commands related to a closed loop control algorithm, receiving one or more data in response to the one or more commands over a data interface, and executing the one or more commands related to the closed loop control algorithm based on the received one or more data.

The programmed function may be initiated based on an application programming interface function.

The closed loop control algorithm may include closed loop diabetes management algorithm.

In one aspect, the closed loop control algorithm may be configured to modify a delivery profile of a medication.

The closed loop control algorithm may be configured to request a blood glucose value.

The one or more commands in one aspect may include one or more serial commands, where the received one or more data over the interface may be serialized or formatted for serial communication.

The one or more commands may include a command to retrieve one or more of the current or prior monitored analyte level, where the analyte level may include glucose level.

An apparatus in accordance with another embodiment includes a storage unit, and one or more processors coupled to the storage unit, the one or more processors configured to initiate a programmed function in conjunction with execution of one or more commands related to a closed loop control algorithm, to receive one or more data in response to the one or more commands over a data interface; and to execute the one or more commands related to the closed loop control algorithm based on the received one or more data.

A system in accordance with yet another embodiment includes a control unit including a memory unit having stored therein a closed loop control algorithm for execution, and an insulin delivery device in signal communication with the control unit for executing one or more medication delivery functions based on one or more signals received from the control unit, wherein the control unit may include a user interface for initiating one or more application programming interface function associated with one or more of the operation of the insulin delivery device, and further wherein the insulin delivery device may be configured to execute the one or more functions associated with the one or more of the initiated application programming interface functions.

The closed loop control algorithm stored in the memory device of the control unit may include a plurality of closed loop control algorithms.

Various other modifications and alternations in the structure and method of operation of this invention will be apparent to those skilled in the art without departing from the scope and spirit of the invention. Although the invention has been described in connection with specific preferred embodiments, it should be understood that the invention as claimed should not be unduly limited to such specific embodiments.

Claims (21)

What is claimed is:

1. A method of providing treatment for a medical condition, the method comprising:

receiving, by a control unit, analyte data, from an analyte sensor in communication with the control unit; and

controlling, by the control unit, a medication delivery device in accordance with a closed loop control algorithm based on the analyte data, wherein the closed loop control algorithm is associated with a closed loop control operation,

wherein in controlling the medication delivery device, the control unit is configured to:

receive a serialized function call from a remote terminal, wherein the serialized function call encapsulates the closed loop control operation in a format that can be processed by the control unit;

process the serialized function call to identify the closed loop control operation encapsulated in the serialized function call; and

transmit, to the medication delivery device, a command for executing the closed loop control operation by the medication delivery device.

2. The method ofclaim 1, wherein controlling the medication delivery device in accordance with the closed loop control algorithm comprises causing the medication delivery device to deliver medication in accordance with the closed loop control algorithm, the method further comprising:

causing, by the control unit, the medication delivery device to be controlled in accordance with a second closed loop control algorithm instead of the closed loop control algorithm, and wherein controlling the medication delivery device in accordance with the second closed loop control algorithm comprises causing the medication delivery device to deliver medication in accordance with the second closed loop control algorithm.

3. The method ofclaim 2, wherein causing the medication delivery device to be controlled in accordance with the second closed loop control algorithm instead of the closed loop control algorithm is based on a user action.

4. The method ofclaim 2, wherein the closed loop control algorithm and the second closed loop control algorithm are stored in a memory accessible by the control unit.

5. The method ofclaim 2, wherein the second closed loop control algorithm is not modified.

6. The method ofclaim 1, wherein the closed loop control operation is related to analyte monitoring.

7. The method ofclaim 1, wherein the analyte data is glucose data and the medication delivery device is an insulin delivery device.

8. The method ofclaim 1, further comprising:

causing, by the control unit, the medication delivery device to be controlled in accordance with a second closed loop control algorithm instead of the closed loop control algorithm; and

controlling, by the control unit, the medication delivery device in accordance with the second closed loop control algorithm.

9. The method ofclaim 1, wherein the closed loop control operation is a bolus delivery of insulin.

10. An apparatus comprising:

a control unit; and

a memory including a closed loop control algorithm stored therein, wherein the control unit is configured to:

receive analyte data from an analyte sensor in communication with the control unit;

control a medication delivery device in accordance with the closed loop control algorithm based on the analyte data, wherein the closed loop control algorithm is associated with a closed loop control operation, and wherein in controlling the medication delivery device, the control unit is further configured to:

receive a serialized function call from a remote terminal, wherein the serialized function call encapsulates the closed loop control operation in a format that can be processed by the control unit;

process the serialized function call to identify the closed loop control operation encapsulated in the serialized function call; and

transmit, to the medication delivery device, a command for executing the closed loop control operation by the medication delivery device.

11. The apparatus ofclaim 10, wherein the control unit is configured to control the medication delivery device in accordance with the closed loop control algorithm by being configured to cause the medication delivery device to deliver medication in accordance with the first closed loop control algorithm, wherein the memory further includes a second closed loop control algorithm, and wherein the control unit is configured to control the medication delivery device in accordance with the second closed loop control algorithm by being configured to cause the medication delivery device to deliver medication in accordance with the second closed loop control algorithm.

12. The apparatus ofclaim 11, wherein the control unit is configured to cause the medication delivery device to be controlled in accordance with the second closed loop control algorithm instead of the closed loop control algorithm based on a user action.

13. The apparatus ofclaim 11, wherein the second closed loop control algorithm is not modified.

14. The apparatus ofclaim 10, wherein the closed loop control operation is related to analyte monitoring.

15. The apparatus ofclaim 10, wherein the analyte data is glucose data and the medication delivery device is an insulin delivery device.

16. A system comprising:

an analyte sensor configured to generate analyte data;

a medication delivery device;

a control unit; and

a memory including a closed loop control algorithm stored therein, wherein the control unit is configured to:

receive the analyte data generated by the analyte sensor;

control the medication delivery device in accordance with the closed loop control algorithm based on the analyte data, wherein the closed loop control algorithm is associated with a closed loop control operation, and wherein in controlling the medication delivery device, the control unit is further configured to:

receive a serialized function call from a remote terminal, wherein the serialized function call encapsulates the closed loop control operation in a format that can be processed by the control unit;

process the serialized function call to identify the closed loop control operation encapsulated in the serialized function call; and

transmit, to the medication delivery device, a command for executing the closed loop control operation by the medication delivery device.

17. The system ofclaim 16, wherein the control unit is configured to control the medication delivery device in accordance with the closed loop control algorithm by being configured to cause the medication delivery device to deliver medication in accordance with the closed loop control algorithm, wherein the memory further includes a second closed loop control algorithm, and wherein the control unit is configured to control the medication delivery device in accordance with the second closed loop control algorithm by being configured to cause the medication delivery device to deliver medication in accordance with the second closed loop control algorithm.

18. The system ofclaim 17, wherein the control unit is configured to cause the medication delivery device to be controlled in accordance with the second closed loop control algorithm instead of the closed loop control algorithm based on a user action.

19. The system ofclaim 17, wherein the second closed loop control algorithm is not modified.

20. The system ofclaim 16, wherein the the closed loop control operation is related to analyte monitoring.

21. The system ofclaim 16, wherein the analyte data is glucose data and the medication delivery device is an insulin delivery device.

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